【摘要】：目的 本課題旨在通過“三才配穴推拿法”對原發(fā)性失眠(肝郁化火型)焦慮抑郁狀態(tài)的調(diào)節(jié)作用的臨床研究,觀察“三才配穴推拿法”對焦慮、抑郁狀態(tài)的改善程度及對睡眠的改善情況,探索肝郁化火與焦慮抑郁之間的關(guān)系。方法 通過隨機(jī)對照的方法,將符合納入標(biāo)準(zhǔn)的72例臨床失眠患者(肝郁化火型),分為治療組(三才配穴推拿組),對照組(西藥組),采用匹茲堡睡眠質(zhì)量指數(shù)(PSQI)量表、焦慮自評量表(SAS)、抑郁自評量表(SDS)進(jìn)行觀測,與西藥組治療本病臨床療效進(jìn)行對比。結(jié)果 納入患者72例,其中轉(zhuǎn)院和脫落12例患者,其中推拿組3例,西藥組8例。實(shí)際完成臨床觀察60例患者。在臨床療效方面,治療組治療30例,臨床治愈14例,顯效9例,總有效率為86.7%,對照組30例,臨床治愈15例,顯效10例,總有效率為93.3%,經(jīng)統(tǒng)計(jì)學(xué)處理,二者無顯著差異(P0.05),說明治療組與對照組療效無差異。在PSQI評定方面兩組病人治療前后各項(xiàng)目均有明顯改善(P0.01),在睡眠障礙項(xiàng)、日間功能項(xiàng)中治療組優(yōu)于對照組。在焦慮、抑郁狀態(tài)評定上,治療組優(yōu)于對照組。結(jié)論 以上結(jié)果說明,“三才配穴推拿法”在治療原發(fā)性失眠(肝郁化火型)方面安全有效,能明顯改善患者的焦慮、抑郁狀態(tài)、提高患者的睡眠質(zhì)量。
[Abstract]:Objective the purpose of this study was to observe the effect of "Sancai acupoint massage method" on anxiety and depression in patients with primary insomnia (liver depression and fire type), and to observe the effect of "Sancai acupoint massage method" on anxiety. To explore the relationship between depression and anxiety and depression. Methods Seventy-two patients with clinical insomnia (liver depression and fire type) were randomly divided into treatment group (Sancai points massage group) and control group (western medicine group). The Pittsburgh Sleep quality Index (PSQI) and the Self-Rating anxiety scale (SAS),) (SDS) were used to observe the clinical efficacy of this disease in the western medicine group. Results 72 patients were included, including 12 patients who were transferred to hospital or dropped off, including 3 patients in massage group and 8 patients in western medicine group. Clinical observation was performed in 60 patients. In the treatment group, 30 cases were treated, 14 cases were cured, 9 cases were markedly effective, the total effective rate was 86.7%, in the control group, 15 cases were cured, 10 cases were markedly effective, and the total effective rate was 93.3%. There was no significant difference between the two groups (P0.05), indicating that there was no difference between the treatment group and the control group. In terms of PSQI evaluation, each item was improved significantly before and after treatment (P0.01). The treatment group was superior to the control group in terms of sleep disorder item and daytime function item. In the evaluation of anxiety and depression, the treatment group was superior to the control group. Conclusion the above results suggest that the "Sancai" method is safe and effective in the treatment of primary insomnia (liver depression and fire type), which can obviously improve the anxiety and depression of patients and improve the sleep quality of patients.
【學(xué)位授予單位】：長春中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R244.1

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